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For patient-related inquiries, please visit our Contact page.
Contact our Insurance Sales Team
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We’d love to hear from you.
We enjoy working with clients to bring quality, choice, and value to the dental insurance experience. Discover the benefits of Willamette Dental.
We’d love to hear from you.
We enjoy working with clients to bring quality, choice, and value to the dental insurance experience. Discover the benefits of Willamette Dental.
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If you are not already appointed with Willamette Dental Group, there are many reasons you should consider joining our team. Our brokers enjoy:
Complete the form above and request that a producer agreement be sent to you. To complete your application, attach a copy of your state insurance license and a signed copy of the agreement and return everything to Willamette Dental Group via e-mail or postal mail.
For more information, please complete the form above.
- A variety of high-value, comprehensive products to meet your clients’ needs
- Competitive rates
- Excellent compensation
- Easy and quick group enrollment
- Outstanding support and service before and after the sale
- You must have a valid license with the state of Oregon, Washington or Idaho, depending on the state of desired appointment. A resident or nonresident license will qualify.
- You must not have any complaints, license suspensions, or revocations on file with the Insurance Commissioner of any state.
- Your agency or brokerage must not have had any bankruptcies.
Complete the form above and request that a producer agreement be sent to you. To complete your application, attach a copy of your state insurance license and a signed copy of the agreement and return everything to Willamette Dental Group via e-mail or postal mail.
For more information, please complete the form above.
Use the links below to download and print all of the forms and materials you may need for yourself or your clients. If you have further questions or would like to request printed materials, please complete the form above.
Member Enrollment Application and Change of Information Form
The Willamette Dental Group Member Enrollment Application and Change of Information Form allows members to enroll themselves and their family members in the Willamette Dental Group plan as well as change information regarding their enrollment. Once members have completed this form, please submit to their human resources administrator.
The Willamette Dental Group enrollment guide provides you with all the information you need to know about our dental plan, including our proactive dental care approach, locations, implant services, orthodontia and much more.
*The Enrollment Application and Change of Information Form and Enrollment Guide are intended for Willamette Dental plan members that are provided dental care coverage through their employers’ dental benefits plan. For information regarding individual & family plans, please click here.
- Oregon Enrollment Application
- Oregon Enrollment Application (Spanish)
- Washington Enrollment Application
- Washington Enrollment Application (Spanish)
- Idaho Enrollment Application
- Idaho Enrollment Application (Spanish)
The Willamette Dental Group enrollment guide provides you with all the information you need to know about our dental plan, including our proactive dental care approach, locations, implant services, orthodontia and much more.
*The Enrollment Application and Change of Information Form and Enrollment Guide are intended for Willamette Dental plan members that are provided dental care coverage through their employers’ dental benefits plan. For information regarding individual & family plans, please click here.
The Willamette Dental Group Underwriting Guidelines outline our underwriting requirements for sales of our group dental insurance plans.
Thanks to our small group plans, a business with only a few employees can still have quality dental benefits at a very reasonable cost. Willamette Dental Group plans for small employers offer value & choice. To learn more about our unique advantages, click on information for your state below.
Oregon
Willamette Dental Group is proud to partner with Delta Dental Plan of Oregon to offer small businesses in Oregon even more choice & flexibility with the DirectOption dental plans. For groups sized 5 – 50 employees, please click here for plan summaries (by clicking this link, you will be directed to the Moda Health website).
Washington
The Willamette Dental Group plans for Washington small employers offer a menu of plans designed to meet your client’s benefit plan needs. Small group plans are available for group sized 5 – 50 employees.
Idaho
The Willamette Dental Group plans for Idaho small employers offer a menu of plans designed to meet your client’s benefit plan needs. Small group plans are available for group sized 5 – 50 employees.
For more information, please complete the form above.
Oregon
Willamette Dental Group is proud to partner with Delta Dental Plan of Oregon to offer small businesses in Oregon even more choice & flexibility with the DirectOption dental plans. For groups sized 5 – 50 employees, please click here for plan summaries (by clicking this link, you will be directed to the Moda Health website).
Washington
The Willamette Dental Group plans for Washington small employers offer a menu of plans designed to meet your client’s benefit plan needs. Small group plans are available for group sized 5 – 50 employees.
- 2024 Washington Small Group Plan Benefit Summaries
- 2025 Washington Small Group Plan Benefit Summaries
Idaho
The Willamette Dental Group plans for Idaho small employers offer a menu of plans designed to meet your client’s benefit plan needs. Small group plans are available for group sized 5 – 50 employees.
For more information, please complete the form above.
If an employee or dependent loses coverage, it is important to provide information on available coverage options. At Willamette Dental Group, we are here to help with that process. Use the link below to get more information on the continuing coverage options we offer.
Our Broker Resource Center contains forms and materials to help your clients learn about Willamette Dental.
Need access? Complete the form above.
Idaho Sales
idsales@willamettedental.com
Oregon Sales
orsales@willamettedental.com
Washington Sales
wasales@willamettedental.com
Underwriting
underwriting@willamettedental.com
Billing & Eligibility Insurance Operations
wd.insurancelist@willamettedental.com
1.855.433.6825, Option 4
Fax: 503.952.2679
Patient Inquiries
Member Services
memberservices@willamettedental.com
1.855.433.6825, Option 2
Patient Financial Inquiries
Patient Financial Services
financialservices@willamettedental.com
1.855.433.6825, Option 3
Patient Appointed Center
1-855-4DENTAL (1-855-433-6825), Option 1
idsales@willamettedental.com
Oregon Sales
orsales@willamettedental.com
Washington Sales
wasales@willamettedental.com
Underwriting
underwriting@willamettedental.com
Billing & Eligibility Insurance Operations
wd.insurancelist@willamettedental.com
1.855.433.6825, Option 4
Fax: 503.952.2679
Patient Inquiries
Member Services
memberservices@willamettedental.com
1.855.433.6825, Option 2
Patient Financial Inquiries
Patient Financial Services
financialservices@willamettedental.com
1.855.433.6825, Option 3
Patient Appointed Center
1-855-4DENTAL (1-855-433-6825), Option 1
Damien Dreis
VP of Revenue
Tiffany Nicholson
Manager of Client Services
Tricia Van Valin
Sales Representative
Kim Bolden
Account Manager
Brittany Duxbury
Account Manager
Cinder Hart
Account Manager
Stephanie Lechelt
Account Manager